Antimicrobial Research Laboratory, New Chemistry Unit, Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bengaluru, Karnataka, 560064, India.
School of Advanced Materials, Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bengaluru, Karnataka, 560064, India.
Adv Healthc Mater. 2022 Aug;11(15):e2200536. doi: 10.1002/adhm.202200536. Epub 2022 Jun 19.
With the increasing focus on healthcare research in the current times, therapeutic and biomaterial interventions for healing of wounds and mitigation of wound-associated infections have seen expedited progress. Conventional approaches consist of release-active gels, which demonstrate leaching of antimicrobials, such as antibiotics, metal ions, etc. However, these systems suffer from the disadvantages of burst release, reservoir exhaustion, and associated toxicity. In this report, intrinsically antimicrobial hydrogel (HyDex) is developed by one-pot UV crosslinking of methacrylated dextran, polyethylene glycol diacrylate, and cationic lipophilic methacrylate with varied hydrophobic chain, which displays broad-spectrum antimicrobial activity, hemostatic ability, and rapid wound closure efficacy. The optimized hydrogel exhibits potent antimicrobial efficacy against multidrug-resistant Gram-positive and Gram-negative bacteria as well as against pathogenic fungus Candida albicans. The HyDex hydrogel shows rapid arrest of bleeding in mice liver puncture model. The hydrogel kills carbapenem-resistant Acinetobacter baumannii in a murine model of burn wound infection with >99% reduction in bacterial burden. Furthermore, this hydrogel displays significant reduction in inflammatory responses, with accelerated wound healing in rat deep wound model. Collectively, these results imply the excellent promise held by lead hydrogel to be developed for tackling deep tissue wounds, notorious infections, and resulting inflammatory responses.
在当前时代,人们越来越关注医疗保健研究,用于治疗伤口和减轻与伤口相关的感染的治疗和生物材料干预措施取得了快速进展。传统方法包括释放活性凝胶,这些凝胶表现出抗生素、金属离子等抗菌剂的浸出。然而,这些系统存在突释、储库耗尽和相关毒性的缺点。在本报告中,通过一锅法的 UV 交联法制备了具有内在抗菌性的水凝胶(HyDex),所用原料为甲基丙烯酰化葡聚糖、聚乙二醇二丙烯酸酯和带有不同疏水性链的阳离子亲脂性甲基丙烯酸酯。该水凝胶具有广谱抗菌活性、止血能力和快速伤口闭合功效。优化后的水凝胶对多药耐药的革兰氏阳性和革兰氏阴性细菌以及致病性真菌白色念珠菌均具有强大的抗菌功效。HyDex 水凝胶可迅速控制小鼠肝穿刺模型中的出血。该水凝胶可在烧伤感染的小鼠模型中杀死碳青霉烯类耐药鲍曼不动杆菌,使细菌负荷减少>99%。此外,该水凝胶还显著降低了炎症反应,在大鼠深部伤口模型中加速了伤口愈合。综上所述,这些结果表明,这种水凝胶具有很大的应用潜力,可用于治疗深部组织伤口、严重感染和由此产生的炎症反应。